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A Dramatic Shift in Healthcare

The basis for competition in healthcare is shifting dramatically at a pace not seen over the past 30 years.

In the face of escalating costs, quality challenges and uneven access to care, under pressure from continued economic challenges in Europe and healthcare reform in the US, companies in all healthcare sectors are reassessing how best to serve and succeed in the market. Through all the uncertainty, what is clear is that companies will need to demonstrate measurable value, embrace the changing role of the consumer in healthcare, and harness fast-paced big advances in medical science, if they are to succeed in addressing these challenges. These are not issues that will be solved by one segment of the industry alone. A deep understanding of all stakeholders, engagement beyond single sectors, new uses of technology, and an ability to innovate will be required. In many growth markets governments are facing the challenge of providing access to care to millions of individuals. Significant infrastructure investments and new institutions are required. On the private side, tailored market approaches are needed to ensure successful market entry and profitable growth.

Key Trend

We believe that there is a need for stronger-form healthcare products — procedural, acute, chronic, or long-term care offerings that change the way healthcare is delivered, financed, and consumed. The accountable care organization construct, which reimburses participating providers for achieving quality and cost objectives for a defined Medicare population, has not generated sufficient improvements in care transformation or patient engagement. Meanwhile, productized or bundled healthcare — in which a patient pays a single fee for all tests and treatments related to a condition or procedure — is gaining in popularity. We are witnessing the evolution of a new healthcare marketplace, offering a range of solutions that combine care and financing. It will be more competitive and more transparent, and ultimately shaped by the shifting of risk to providers and consumers, and the addition of retail channels for care and financing. This will create opportunities for new and innovative healthcare solutions addressing a wide range of acute, chronic, and long-term challenges.